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In private practice, I hear patients say all the time "I have arthritis" or "I degenerative disc disease". While I do appreciate them telling me this as part of their medical history, I place a lot less value on this diagnosis than they do. The problem with these terms is that patients can hang on to them and use them as a crutch. With a diagnosis of arthritis, it changes the patient's perspective from optimism to one that is doubtful of recovery. Patients often think that the only thing they can do is wait until they are a candidate for surgery. It makes perfect sense to the patient, if their joint is degenerated then that must be the cause of their pain and if they have arthritis then